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Biomedical subjects

M Gill

Publications and source records attributed to M Gill.

224 records · Page 13Linked to original sources
PubMedDate not supplied

Intra-abdominal needles: an enigma (a report of two cases).

Ingested sharp metallic bodies perforate the gut surprisingly rarely. Perforation and migration of such a foreign body may be silent. Patients may present with unrelated symptoms and the discovery of foreign body on radiological examination of the abdomen may come as a surprise. History of ingestion is usually difficult to obtain. Foreign bodies after perforation have been reported to migrate to almost any intraabdominal or rarely to even extra-abdominal sites. Migration to the liver, mesentery or the anterior abdominal wall, however, is extremely rare. We report two cases of young women with two ingested needles in each which perforated silently and in one case migrated to the liver and the anterior abdominal wall while in the other they migrated to the mesentery of the small intestine and the anterior abdominal wall.

Abdominal Pain↗
PubMedDate not supplied

From the Central Valley to the Sierras: Air Med Team.

Effective treatment of the critically ill or injured patient and rapid transport to definitive care have been the goals of the air medical industry since its inception. For the past 6 years, Air Med Team (AMT), a service of Doctors Medical Center (DMC) in Modesto, Calif., has delivered timely and often lifesaving care to the largely rural area of the Central Valley and the Sierras. AMT was established in an effort to complete the spectrum of health care services offered by DMC and ensure easy access to the critical care services available at this facility. Established in February 1994, AMT strives to provide a safe and efficient approach to patient care in the prehospital environment. More than 4200 accident-free missions and 1900 patient transports have been completed since our first activation on March 14, 1994.

Air Ambulances↗
PubMedDate not supplied

The analysis of transference: a critique of Fenichel's Problems of psychoanalytic technique.

Three principles of the analysis of transference are proposed: first, that transference is encouraged to expand within the analytic situations; second, that the principal technique for doing so is the interpretation of disguised allusions to transference in the patient's manifest associations; and, third, that transference is primarily resolved by its interpretation in the here and now of the therapeutic situation. This third principle includes three major considerations: (1) all transference is related to something in the actual therapeutic situation; (2) the analysis of transference requires an examination of the extent to which the actual therapeutic situation does and does not account for the patient's experience of the relationship; and (3) in this examination the patient simultaneously has a new experience and acquires insight into how that experience differs from his predetermined expectations. The extent to which these principles are derived from Freud's writings is briefly discussed. Finally, Fenichel's monograph is examined and shown to fall short due to failure to employ these principles.

Freudian Theory↗
PubMedDate not supplied

Anxiety disorders.

Explore the source record for details and available documents.

Anxiety Disorders↗
PubMedDate not supplied

Do general practitioners know when living wills are legal?

BACKGROUND: There is growing public awareness of living wills or advance directives. Patients who wish to make advance directives may approach general practitioners (GPs) for advice. However, many GPs are unaware of the correct legal status of living wills. METHODS: Questionnaires were sent to 270 GPs in London and Winchester, asking seven questions about the current legal status of living wills. RESULTS: Of the 214 GPs (79%) who returned questionnaires, only 104 (49%) were aware that some types of advance directives could carry legal force. Many of the GPs who did know that living wills could be legally binding were unable correctly to answer further questions on the practicalities of the law; for example, 26% were wrong in believing that a lawyer had to draw up a living will, and 13% incorrectly believed that a doctor was legally required to give any treatment requested by a patient in a living will. CONCLUSIONS: Half of the GPs surveyed were unaware that living wills currently have legal force and most of the rest were unaware of important details of the law. More attention needs to be given to the education of doctors in this area.

Advance Directives↗